Socioeconomic Resources Research Articles

REGIONAL FEATURES OF THE DEVELOPMENT OF EXTREME TOURISM WITHIN PODILLIA

Extreme tourism is actively developing within Podillia, but spontaneously. The goal is to consider the peculiarities of regional differences in the development of extreme tourism, taking into account the availability of relevant natural and socio-economic resources of Podillia. The methods of system analysis and generalization, field landscape studies and tourism studies, modeling and GIS technologies were used. It is noted that geographers and landscape scientists still do not pay enough attention to researching the possibilities of the development of extreme tourism, in particular, its individual types. It is shown that Podillia has enough necessary natural and socio-economic resources for the development of various types of extreme tourism. For their better understanding and further development, it is expedient to use existing schemes of natural zoning, which partially take into account the socio-economic conditions of Podillia. An analysis of the existing sport tourism zoning scheme was also carried out, the structure of which includes extreme tourism. On the basis of these zonings, taking into account the available resources suitable for the development of the relevant types of extreme tourism, a zoning scheme for extreme tourism in Podillia was developed, with the separation of Zahidno-Podilsky, Kremenets-Gorbogirny, Tovtrovy, Podilsky Transnistria, Central-Podilskyi and Middle-Buzky districts. In each district, 2-3 leading types of extreme tourism and 1-2 promising ones in the future are selected. They need to be supported both by local village and district communities, and at the state level. The legal basis for the development of extreme tourism and its individual types, holding competitions, etc., also needs improvement. This especially applies to the relations between extreme tourists and local communities in connection with the complication of their established everyday life and activities.
 The development of the tourist and recreational sphere in the conditions of Podillia is determined by the presence of the necessary, often unique and even unique natural resources, appropriate socio-economic conditions and local traditions and customs. However, for a long period of time, the tourism and recreation sphere developed according to previously established criteria (until the 1990s). Since the beginning of the XXI century. clearly observed trends towards the reconstruction of the tourist and recreational sphere of Podillia, taking into account foreign experience and local conditions. Among the types of tourist and recreational activities, the importance of sports tourism is growing. In its structure, even now, extreme tourism remains in the "shadow", almost unrecognized. This often leads to its active spontaneous development, especially in such areas of Podillia as the Kremenets Mountains, Podil Transnistria, Podil Tovtry, and Middle Pobuzh. Moreover, for certain local communities, extreme tourism becomes profitable. For better development, extreme tourism must be separated from the structure of sports tourism, but developed together. In each of the designated extreme tourism areas of Podillia, 1-3 species will prevail. They need to be supported both by local village and district communities, and at the state level. The legal basis for the development of extreme tourism and its individual types, holding competitions, etc., also needs improvement. This especially applies to the relations between extreme tourists and local communities in connection with the complication of their established everyday life and activities.
 The proposed zoning scheme for extreme tourism in Podillia and its promising types identified in each district provide an opportunity to better develop directions for the development of individual types of extreme tourism, and to allocate costs for their development. In the future, this will require more detailed studies of the development possibilities of each type of extreme tourism, even those that are not leading in the isolated extreme tourism areas of Podillia, but will be promising in the future.
 It is noted that further research into the development of extreme tourism within Podillia will help to increase its diversity, the conduct of classes and the safety of training.
 Keywords. Podillia, natural resources, extreme tourism, zoning, development.

Telehealth Use Among Older Adults With Sensory, Cognitive, and Physical Impairments: A Substitute or Supplement to Traditional Care?

Telehealth use flourished during the COVID-19 pandemic, as older patients faced obstacles to seeking in-person care. Heavy reliance on telehealth may continue postpandemic, due to increased Medicare investments in its use. However, it is unclear if older adults with disabilities face obstacles to effective telehealth use. We evaluate (a) how sensory, physical, and cognitive impairments affect older adults' use of telehealth only, traditional in-person care only, neither, or both (i.e., combined care); and (b) whether these patterns differ on the basis of socioeconomic and social resources that may facilitate telehealth use. Data are from the Self-Administered Questionnaire in the 2020 wave of the Health and Retirement Study (n = 4,453). We estimated multinomial logistic regression models to evaluate associations between impairments and health care service use and tested 2-way interaction terms to evaluate moderation effects. Persons without impairments were most likely to use combined care, considered the optimal form of care. Persons with vision or cognitive impairment were more likely to use telehealth or traditional care only, whereas persons with 3 or more physical limitations were least likely to use telehealth alone, relative to combined care. Patterns did not differ significantly on the basis of any of the potential moderators. We discuss implications for health care policy and practice, in light of reimbursement changes proposed by the Centers for Medicare and Medicaid Services for telehealth services. These proposals include the elimination of voice-only services which may be particularly beneficial to vision-impaired older adults.

Has the High Rate of Home Ownership in China Affected Residents’ Subjective Evaluation of Social Status?

Objective measures of social status based solely on socioeconomic resources have inherent limitations, impeding an accurate assessment of residents' social status issues. As a result, subjective social status has gained considerable significance in the maintenance of social order and stability. Using 2018 China Family Panel Studies (CFPS) data, we employ the Probit model to empirically examine the effects of home ownership in China on their subjective social status and their influencing mechanism. Our findings indicate that individuals with housing have higher subjective evaluations of their social status compared to individuals without home ownership, and individuals with multiple suites have higher happiness and life satisfaction. Further mechanistic analysis revealed that individuals with home ownership were able to accumulate household wealth and alleviate the sense of relative deprivation compared to individuals without home ownership, thus enhancing their subjective evaluations of their social status.

The perceived effects of migration on the mental health of Afro-Caribbean immigrants: A narrative synthesis of qualitative studies.

INTRODUCTION: There is evidence to support migration as a significant risk factor for psychiatric disorders in immigrants. Unfortunately, as an immigrant group, little is known about the mental health of Afro-Caribbean immigrants and the factors that threaten their mental health. To explore the perceived effects of migration on the mental health of Afro-Caribbean immigrants. A qualitative narrative synthesis was employed to interpretively integrate 13 primary qualitative research findings. Eleven of the primary studies were conducted in the U.K., one in the U.S. and one in Canada. The themes gleaned: (1) experiences of racism, (2) generational conflicts, (3) feelings of powerlessness, (4) limited socioeconomic resources, (5) unfulfilled expectations, (6) fragmented family and community and (7) ignoring cultural/ethnic identity. The findings broadened the understanding and experiences of Afro-Caribbean immigrants and their mental health vulnerabilities as they navigate through migration and acculturation. Addressing the mental health of Afro-Caribbeans will require health care providers to: (1) be cognizant of their immigrant status; (2) understand how migration and acculturation influence the mental health of immigrants; (3) be aware of the ethnocultural differences among Black subgroups.

Perceived inequality in society may not motivate increased food intake in the absence of personal socioeconomic disadvantage

BackgroundGreater levels of socioeconomic inequality across societies have been associated with higher rates of obesity and cardiometabolic disease. While these relationships could be attributed to poorer quality of health services and lower access to healthier lifestyles among disadvantaged groups in societies with greater economic inequality, this explanation does not account for those who experience relative economic security in such unequal societies (e.g., the middle and upper classes). Here, we tested whether perceptions of greater disparities between social classes in one’s society (i.e., perceived societal inequality) may promote eating behaviors that risk excess energy intake.MethodsIn two studies, participants completed an experimental manipulation that situated them as middle class within a hypothetical society that was presented to have either large disparities in socioeconomic resources between classes (high inequality condition) or low disparities (low inequality condition), while keeping the participants’ objective socioeconomic standing constant across conditions. In Study 1 (pre-registered), participants (n = 167) completed the perceived societal inequality manipulation before a computerized food portion selection task to measure desired portion sizes for a variety of foods. Study 2 (n = 154) involved a similar design as Study 1, but with inclusion of a neutral control condition (no awareness of class disparities) followed by ad libitum consumption of potato chips.ResultsWhile the high inequality condition successfully elicited perceptions of one’s society as having greater socioeconomic inequalities between classes, it did not generate consistent feelings of personal socioeconomic disadvantage. Across both studies, we observed no differences between conditions in average selected portion sizes or actual energy intake.ConclusionsTaken together with prior research on the effects of subjective socioeconomic disadvantage on increased energy intake, these findings suggest that perceptions of inequality in one’s society may be insufficient to stimulate heightened energy intake in the absence of personal socioeconomic disadvantage or inadequacy.

Organizational Communication Strategy at BAZNAS Institution in Raising Zakat Funds in Bandar Lampung City

Social welfare problems are a problem of the entire Indonesian nation that requires the attention of all parties, including the government, the business world and the community. The government tries to overcome social problems through various programs and activities, but the problem is never resolved. In this regard, zakat can act as a source of socio-economic resources for Muslims. This means that the utilization of zakat managed by the Amil Zakat Agency is not only limited to certain activities based on conventional directives, but can also be used for the economic activities of the ummah such as poverty and unemployment assistance programs, using zakat as working capital for activities produced by those in needThe research method in this title is descriptive analysis or qualitative, which is carried out in the field to explain the strategies used in the management of zakat to raise more funds. This research was conducted by applying the study to the National Amil Zakat Agency (BAZNAS) of Bandar Lampung City by using primary data. The results showed that the communication strategy carried out by BAZNAS Institution in collecting people's funds is by implementing interpersonal communication, namely through friendship both formally and informally or by socializing to the public about the National Amil Zakat Agency (BAZNAS). The succession of communication strategies is carried out by intensifying online and offline marketing activities utilizing zakat utilization content and post-utilization reports on zakat funds Communication Strategy The communication strategy applied by the National Amil Zakat Agency in Efforts to Collect zakat is to use interpersonal communication to foster trust, BAZNAS's existence is known to a wide audience through amil silaturrahmi activities, successive information and office location

Gauging Heat Vulnerability in Southeast Florida: A Multimodal Approach Integrating Physical Exposure, Sensitivity, and Adaptive Capacity

Urbanization and warming climate suggest that health impacts from extreme heat will increase in cities, thus locating vulnerable populations is pivotal. However, heat vulnerability indices (HVI) overwhelmingly interpret one model that may be inaccurate or methodologically flawed without considering how results compare with other HVI. Accordingly, this analysis applied a multimodal approach incorporating underrepresented health and adaptability measures to analyze heat vulnerability more comprehensively and better identify vulnerable populations. The Southeast Florida HVI (SFHVI) blends twenty-four physical exposure, sensitivity, and adaptive capacity indicators using uncommon statistical weights removing overlap, then SFHVI scores were compared statistically and qualitatively with ten models utilizing alternative methods. Urban areas with degraded physical settings, socioeconomic conditions, health, and household resources were particularly vulnerable. Rural and agricultural areas were also vulnerable reflecting socioeconomic conditions, health, and community resources. Three alternative models produced vulnerability scores not statistically different than SFHVI. The other seven differed significantly despite geospatial consistency regarding the most at-risk areas. Since inaccurate HVI can mislead decisionmakers inhibiting mitigation, future studies should increasingly adopt multimodal approaches that enhance analysis comprehensiveness, illuminate methodological strengths and flaws, as well as reinforce conviction about susceptible populations.

Hand pollination, mass spraying, and hybrid seedlings: Do these technologies affect the welfare of smallholder cocoa farmers in Ghana?

AbstractAdoption of cocoa production technologies has the potential to improve productivity and welfare of smallholder producers in low‐income countries. While studies investigating synergies in agricultural technologies are growing, empirical evidence on the determinants and impacts of adopting multiple cocoa production technologies on smallholder farmers' welfare is scarce. Therefore, this study contributes by analyzing the determinants and effects of adoption of multiple cocoa production technologies on the welfare of smallholder farmers in Ghana. To achieve this, we used the multinomial endogenous switching regression and multivalued inverse probability regression adjustment models to a random sample of 2233 cocoa farmers from Ghana. The results show that various socioeconomic characteristics (e.g., farmer's age and experience), resource constraints (e.g., land ownership and credit access), market‐related factors (e.g., distance to the market), and production shocks (e.g., rainfall) influence the adoption of multiple cocoa production technologies. Furthermore, the results reveal that adopting multiple production technologies significantly improves cocoa yields, gross income, per capita consumption expenditure, and reduces household food insecurity. Therefore, policies, such as financial support, need to be aimed at improving and strengthening smallholder cocoa producers' capacity to adopt synergistic conventional and non‐conventional cocoa production technologies to maximize smallholder farmers' welfare.

Socioeconomic resources and family formation among young Finnish adults

How do individuals’ employment or financial resources affect childbearing in Finland? Are these resources equally important to men and women, or in couples?
 This study examines the relationship between individuals’ socioeconomic resources – employment, education, and income– and entry into parenthood. The results show that employment stability is a key prerequisite for family formation among young adults in Finland. Being unemployed or having fewer financialresources is related to postponement of parenthood in most population groups, notably among those who are approaching age 30, or above it. A lack of economic resources appears to be an obstacle to family formation at several stages: first through union formation, and next, within unions. The associations are very similar among men and women, indicating that policies that support gender equality in employment are advantageous to childbearing.

The willingness of Ukrainians to fight for their own country on the eve of the 2022 Russian invasion

ABSTRACT The study attempts to explain the determined resistance of Ukrainians to Russia’s aggression based on empirical data from a survey of Ukraine’s population obtained on the eve of Russia’s full-scale invasion. The willingness to resist has been determined by societal identity, which combines pro-Western orientations and Ukrainian-speaking identity. At the same time, factors of regional affiliation and linguistic behavior were not found to have influence. An indicator that ranks respondents’ possible reaction to the war showed the differentiated nature of Ukrainians’ willingness to resist. The willingness to engage in various types of struggle was conditioned by distinct gender roles and socioeconomic resources. This explains the comprehensive scope and mass character of Ukrainian resistance to the war. The societal will to fight was manifested among the Ukrainian military and spread to civilians.

РОЛЬ СОЦИАЛЬНО-ЭКОНОМИЧЕСКИХ ТУРИСТСКИХ РЕСУРСОВ В РАЗВИТИИ РЕГИОНАЛЬНОГО ТУРИЗМА (НА ПРИМЕРЕ ЛИПЕЦКОЙ ОБЛАСТИ)

Today, in the system of regional tourism, the question of the importance and role of socio-economic tourism resources, both in tourism development and in the functioning of the region's economy as a whole, remains very underestimated. Socio-economic tourism resources, according to the author, should be considered in the context of the overall significance of other tourism resources (cultural-historical and natural-recreational), since it is these resources that create the basis and conditions for the most effective organization and development of the tourist and recreational potential of the territory. Competent quantitative and qualitative placement of tourist facilities, infrastructure, hotel enterprises, catering and leisure enterprises on the territory of a tourist destination allows you to correctly distribute the tourist load on the region, solves the problem of regulating and increasing tourist flows. The article discusses the role of various types of socio-economic tourism resources in the functioning and development of the tourism sector in the Lipetsk region. The growth dynamics of various indicators of these resources in the region's economy is noted, strong and weak points in the system of socio-economic tourism resources of the region are noted.

Racialized Health Inequities: Quantifying Socioeconomic and Stress Pathways Using Moderated Mediation

Racism drives population health inequities by shaping the unequal distribution of key social determinants of health, such as socioeconomic resources and exposure to stressors. Research on interrelationships among race, socioeconomic resources, stressors, and health has proceeded along two lines that have largely remained separate: one examining differential effects of socioeconomic resources and stressors on health across racialized groups (moderation processes), and the other examining the role of socioeconomic resources and stressors in contributing to racial inequities in health (mediation processes). We conceptually and analytically integrate these areas using race theory and a novel moderated mediation approach to path analysis to formally quantify the extent to which an array of socioeconomic resources and stressors—collectively and individually—mediate racialized health inequities among a sample of older adults from the Health and Retirement Study. Our results yield theoretical contributions by showing how the socioeconomic status–health gradient and stress processes are racialized (24% of associations examined varied by race), substantive contributions by quantifying the extent of moderated mediation of racial inequities (approximately 70%) and the relative importance of various social factors, and methodological contributions by showing how commonly used simple mediation approaches that ignore racialized moderation processes overestimate—by between 5% and 30%—the collective roles of socioeconomic status and stressors in accounting for racial inequities in health.

Travel before, during and after the COVID-19 pandemic: Exploring factors in essential travel using empirical data.

The COVID-19 pandemic has a significant impact on daily life, leading to quarantines and essential travel restrictions worldwide in an effort to curb the virus's spread. Despite the potential importance of essential travel, research on changes in travel patterns during the pandemic has been limited, and the concept of essential travel has not been fully explored. This paper aims to address this gap by using GPS data from taxis in Xi'an City between January and April 2020 to investigate differences in travel patterns across three periods pre, during, and post the pandemic. Spatial statistical models are used to examine the major supply and demand-oriented factors that affect spatial travel patterns in different periods, and essential and nonessential socioeconomic resources are defined based on types of services. Results indicate that the spatial distribution of travel demand was highly correlated with the location of socioeconomic resources and opportunities, regardless of the period. During the "Emergency Response" period, essential travel was found to be highly associated with facilities and businesses providing essential resources and opportunities, such as essential food provider, general hospital and daily grocery supplies. The findings suggest that local authorities may better identify essential travel destinations by referencing the empirical results, strengthening public transit connections to these locations, and ultimately promoting traffic fairness in the post-pandemic era.

Clinical outcomes of patients with newly diagnosed acute myeloid leukemia receiving treatment in a safety-net hospital system.

7035 Background: Standard induction therapy for acute myeloid leukemia (AML) results in 5-year overall survival (OS) rates of 30-45%. Further risk stratification and novel therapeutic options have improved 5-year OS rates to 75-80% in certain subgroups. Despite these advances, many patients lack proper socioeconomic resources, leading to limited access to new therapies, clinical trials, and hematopoietic cell transplantation (HCT), which remains the only curative therapy for AML. Many of these patients receive care within publicly funded ‘safety net’ institutions designed to serve all individuals, regardless of ability to pay, insurance status, or immigration status. Outcomes of historically underserved patients with AML treated within a large county hospital system remain unknown. Methods: This retrospective cohort analysis evaluated clinical outcomes of patients aged ≥18 years with newly diagnosed AML (ND-AML) treated in the Harris County Health System, Houston, TX, from January 2005 to July 2019. Results: One hundred ninety-two patients with ND-AML were included (de novo AML [n = 140], secondary AML [n = 45], and therapy-related AML [n = 7]). Median age was 52 years (range: 19-89) at diagnosis, and 102 (52.3%) were male. Most patients identified as Hispanic (n = 110). Sixty-two percent of patients were uninsured or indigent, receiving care under the county’s financial assistance programs. The majority had adverse risk 84 (44.3%), while 78 were intermediate (40.6%), and 26 favorable risk (13.5%). Standard induction therapy was administered in 172 (88%) of patients. Cytarabine and Anthracycline (7+3) based regimens were most commonly used (72.8%). 192 patients were evaluable for response. 139 (72.4%) achieved composite complete remission (CR/CRi) and 41 (21.4%) had primary refractory disease. For those who achieved CR after first or second induction, the median duration of CR was 16.7 months. with 25 (13.7%) ultimately receiving HCT. Common reasons for not receiving HCT included lack of insurance (19.2%) or non-citizen status (23.1%) (n = 77). 82 of the 139 patients who achieved CR relapsed. After a median follow up of 16 months, five-year OS rates were 20.7% from our entire cohort of patients. Conclusions: In this cohort of patients treated in a safety-net system, median OS and EFS were lower than reported outcomes in the past decade. In addition, only 13.7% received HCT, one of the only curative treatments for AML. Some barriers included inability to refer to transplant center due to lack of financial support or immigration status. Addressing socioeconomic and institutional barriers to AML therapy and HCT will advance care for disadvantaged patients, thereby improving outcomes of patients AML.

Leveraging a community-academic partnership to evaluate the needs of Latinx AYA cancer survivors.

10060 Background: Adult survivors of childhood cancer have an increased risk of late death and treatment-related comorbidities, yet < 20% of survivors receive guideline concordant risk-based care. Individual-level disadvantages and population-level measures of deprivation contribute to unequal health outcomes among survivors. We aimed to explore the experiences of adolescent/young adult (AYA) cancer survivors and their parents in a region in California with low socioeconomic status and high rates of non-English language preference. Methods: We formed a community-academic partnership with Jacob’s Heart, a nonprofit organization that provides material/psychosocial support to predominantly Hispanic/Latino (Latinx) families of children with cancer. Between Feb-July 2022, we conducted semi-structured interviews in-person or by video or phone with English- or Spanish-speaking AYA survivors of childhood cancer (age ≥15 years, ≥5 years post-diagnosis), parents, and Jacob’s Heart staff members, with assistance from certified medical interpreters. Data were analyzed qualitatively using reflexive thematic analysis based on grounded theory and the constant comparative method. Themes were refined through team discussions with our community partners. Results: We interviewed 12 AYAs (11 Latinx and bilingual), 11 parents (8 Latinx, 7 non-English preferred), and 7 organization staff (5 Latinx and bilingual). AYAs (5 female, 7 male) were median age (min-max) 20 (16-32) and 9 (5-19) years post-diagnosis; parents (9 female, 2 male) were median age 48 (40-60) and 14 (6-23) years post-child’s diagnosis. Cancer types were leukemia (6 AYAs, 9 parents), CNS tumors (1 AYA, 2 parents), other solid tumors (3 AYAs), lymphoma (2 AYAs). Key themes across interviews included gratitude and trust in the pediatric cancer care team and Jacob’s Heart staff, challenges obtaining healthcare outside of the pediatric cancer setting, lasting effects of cancer on the family (e.g., parental job loss, financial strain, impact on siblings, prolonged fear of recurrence in parents, unmet mental health needs in parents and AYAs), and communication barriers between Latinx families and clinicians (e.g., hesitancy to ask questions, overwhelmed by medical information) and between AYAs and parents (e.g., avoidance of talking about cancer history, cancer-related stigma, differing language preferences of AYAs and parents). Conclusions: Childhood cancer has long-lasting effects on families and those with fewer socioeconomic resources face additional burdens. Communication gaps experienced by Latinx families may be a target for intervention to improve AYA survivorship care. Future steps include sharing results with participants and partnering with the community to co-design interventions to facilitate triadic communication among Latinx AYAs, parents, and clinicians.

Social Power and the Movement System: Why and How Physical Therapists Might Influence the Upstream Currents of Health.

Social determinants of health are an emerging focus within physical therapist practice, research, education, and advocacy as a necessary condition for movement system health disparities. Fundamental cause theory suggests that the sociopolitical environment sets the context for individuals' socioeconomic positioning, which determines the availability of resources that are necessary for groups and individuals to maintain health. These resources include knowledge, money, power, prestige, and social connections. Yet, it is the hierarchical organization of society that dictates both the availability of socioeconomic resources and the ability of patients and clients to use those resources to promote and maintain movement system health. The presence of social hierarchies indicates the need for physical therapists to consider social power as a key determinant of movement system health. Consideration of social power in clinical initiatives and advocacy agendas would provide a framework for physical therapists to begin the dynamic, and often, adversarial process of breaking down social hierarchies and redistributing social power, rather than simply redistributing socioeconomic resources, in pursuit of societal transformation and community-building. This Perspective discusses social power as the fundamental driver of movement system health inequalities and explores the effects of social power on exposure, susceptibility, experience, and recovery related to movement system pathology-including the influence of social power on the ability of people to acquire socioeconomic resources and convert them to health-relevant resources. This perspective concludes with recommendations for physical therapists to identify and dismantle inequalities in social power through structural competency.

Assessment of the Prevalence of Head Lice Infestation and Parents' Attitudes Towards Its Management: A School-based Epidemiological Study in İstanbul, Türkiye.

Head lice infestation (HLI), caused by Pediculus humanus capitis, is an important public health problem worldwide, especially in primary school children. The aim of this study is to investigate HLI level, related factors, and families' knowledge levels and attitudes about HLI in two primary schools in a relatively low socio-economic region in İstanbul. A questionnaire on HLI was developed initially and delivered to all children and parents in the school. A total of 340 primary school students, aged between 6-12, were enrolled in the study after the consent of their parents. Their hair were examined for HLI with special combs at their schools, and free anti-lice shampoos were given to parents of positive children. A total of 951 completed questionnaires were received and evaluated with chi-square test using the SPSS® 17.0 program, and the differences of p<0.05 were considered significant. Number of boys in the study was slightly higher than the girls (176 vs. 164). HLI was detected in 32 (9.4%) of 340 children; seven had live adult lice on their hair while 25 had only the nits. HLI was obviously more common in girls (16.4%), compared to boys (2.8%). Analysis of 951 questionnaires revealed a statistically significant difference between HLI and infrequent bathing (p<0.05). The differences between HLI and the education levels of parents, income, the number of siblings and in contact with animals were not found to be significant (p>0.05). HLI is still a common health problem, especially in girls in primary schools. Parents are aware of the relationship between the hygiene and prevention against HLI, but low socio-economic resources seem to be important determinants. Regular combing and training activities in primary schools, in coordination with the local authorities and parents are no doubt useful in reducing the incidence of HLI among the children.

Regional disparities in Dementia-free Life Expectancy in Japan: An ecological study, using the Japanese long-term care insurance claims database.

The number of people with dementia increases in an aging society; therefore, promoting policies for dementia throughout the community is crucial to creating a dementia-friendly society. Understanding the status of older adults with dementia in each region of Japan will be a helpful indicator. We calculated Dementia-free Life Expectancy and aimed to examine regional disparities and their associated factors. We calculated Dementia-free Life Expectancy and Life Expectancy with Dementia for each secondary medical area in Japan based on the Degree of Independence in Daily Living for the Demented Elderly, using data extracted from the Japanese long-term care insurance claims database. We then conducted a partial least squares regression analysis, the objective variables being Dementia-free Life Expectancy and Life Expectancy with Dementia for both sexes at age 65, and explanatory regional-level variables included demographic, socioeconomic, and healthcare resources variables. The mean estimated regional-level Dementia-free Life Expectancy at age 65 was 17.33 years (95% confidence interval [CI] 17.27-17.38) for males and 20.05 years (95% CI 19.99-20.11) for females. Three latent components identified by partial least squares regression analysis represented urbanicity, socioeconomic conditions, and health services-related factors of the secondary medical areas. The second component explained the most variation in Dementia-free Life Expectancy of the three, indicating that higher socioeconomic status was associated with longer Dementia-free Life Expectancy. There were regional disparities in secondary medical area level Dementia-free Life Expectancy. Our results suggest that socioeconomic conditions are more related to Dementia-free Life Expectancy than urbanicity and health services-related factors.

Unique times, unequal mobilities: Daily mobility during the de‐escalation of the COVID‐19 pandemic

AbstractScholars have highlighted drastic reductions in daily mobility during the early stages of the COVID‐19 pandemic lockdown. But what happened when restrictions were relaxed though risk remained ubiquitous? How did patterns of mobility change and how were they structured by socioeconomic resources and social roles? We address these questions using a cross‐sectional representative sample (n = 2942) of the population of Andalusia, Spain, after a month and a half of severe lockdown in 2020. We find that older people were the least mobile group and that people living with children and in extended households were less likely to move to take care of others, unlike before the pandemic. Men were more likely to carry out daily mobilities for which women had been traditionally responsible, such as care mobilities. Women were also more likely to be immobile and less likely to commute. Finally, manual and nonqualified workers were more likely to commute, but they were just as likely as any other group to carry out other types of mobility. These results highlight the social character of mobility in a unique context. We emphasize the need to disaggregate daily mobility based on different purposes as well analysing how these are practised by different sociodemographic groups if we want to provide rigorous descriptions of a core component of individuals’ daily life.

Migration status, physical limitations and associated self-rated health: a study of older Indian adults

BackgroundMigrant status with mobility impairment becomes a double burden for health and wellbeing of older adults. This study examined the independent relationships and multitude effects between migrant status, functional and mobility impairments and poor self-rated health (SRH) among older Indian adults.MethodsThis study utilised nationally representative Longitudinal Ageing Study in India wave-1 (LASI) data, including a sample of 30,736 individuals aged 60 years and above. The main explanatory variables were migrant status, difficulty in activities of daily living (ADL), difficulty in instrumental activities of daily living (IADL) and mobility impairments; and the outcome variable was poor-SRH. Multivariable logistic regression and stratified analyses were used to fulfil the study objectives.ResultsOverall, about 23% of older adults reported poor-SRH. Reporting poor-SRH was more prevalent (28.03%) among recent migrants (less than ten years). The prevalence of reporting poor-SRH was significantly higher among older adults who had mobility impairment (28.65%), difficulty in ADL or IADL (40.82% & 32.57%). Migrant older adults (regardless of duration) who had mobility impairment had significantly greater odds of reporting poor-SRH compared with non-migrant older adults who did not have mobility impairment. Similarly, older respondents who had problems in ADL and IADL with migration status had higher odds of reporting poor-SRH than their non-migrant counterparts with no such problems.ConclusionsThe study revealed the vulnerability of migrant older adults with functional and mobility disability, as well as those with limited socioeconomic resources and suffering from multimorbidity on rating their perceived health. The findings can be utilised to target outreach programmes and provision of services for migrating older individuals with mobility impairments and enhance their perceived health and ensure active ageing.